W Joseph Gorum Md Pc

NPI 1568709285 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1568709285
Enumeration Date 01/15/2013
Last Updated 04/19/2016
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JOSEPH JOSEPH
Position MEDICAL DIRECTOR
Phone (718) 479-3303
Fax
Practice Location
1503 GRAVESEND NECK RD
BROOKLYN NY, 11229-4428, US
Phone (718) 479-3303
Fax
Business Location
1503 GRAVESEND NECK RD
BROOKLYN NY, 11229-4428, US
Phone
Fax
Toxanomy
Taxonomy Code 207X00000X
License State New York
License Number 248330
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According to our database, W Joseph Gorum Md Pc NPI is 1568709285, taxonomy code is 207X00000X and license number is 248330, license state is located at New York. W Joseph Gorum Md Pc physically located at 1503 Gravesend Neck Rd, Brooklyn NY, 11229-4428. NPI Number 1033115704 has the healthcare provider type.

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1568709285 NPI number is provided on an as is basis without warranty of any kind. 1568709285 is maintained by the National Plan & Provider Enumeration System. The contents of W Joseph Gorum Md Pc are for informational purposes only.